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Organization
JOSE A ORTIZ DMD PL
Active
Organization
JOSE A ORTIZ DMD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANIBAL ORTIZ DMD (MANAGING MEMBER)
(352) 978-2413
Entity
Organization
Contact information
Practice address
7244 W COLONIAL DR, ORLANDO, FL 32818-6749
(407) 299-6480
Mailing address
1945 ESTANCIA CIR, KISSIMMEE, FL 34741-6381
(352) 978-2413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15853
FL
Other
Enumeration date
01/17/2007
Last updated
09/26/2009
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